Chapter 6 - Medication Order Entry and Fill Process

What does "dtd" mean on a prescription?

"dtd" is a Latin expression meaning "give of such doses."

What relationship code would be used to identify the cardholder of a prescription drug card?

01 refers to the cardholder, 02 is the spouse of the cardholder, and 03 and 04 refer to cardholder's dependent based on chronological order (oldest to youngest).

What does "prn" refills mean?

A "prn" refill allows for a prescription to be refilled for 1 year from the date the prescription was written.

What term is used to describe the date assigned to a unit-dose package?

A beyond-use date is assigned when medications are compounded or repackaged. An expiration is assigned by the drug manufacturer, and the packaged date is recorded on a unit-dose or compounding log to indicate the date medication was packaged or compounded.

What dosage form would be placed in an amber blister pack?

A blister pack is a unit-dose package for solid oral dosage forms such as tablets, caplets, and capsules.

What term refers to a temperature of 10 degrees Celsius?

A cool environment is defined as any temperature between 8 degrees and 15 degrees C (46 degrees and 59 degrees F).

What type of container prevents air from reaching the medications?

A hermetic container is impervious to air and gas, a multiple-dose container is defined as a multiple unit container for parenteral administration, a single-dose container is a single unit container for parenteral administration, and an unit-dose contain is a single-unit container intended for administration other than parenteral.

A physician prescribes a prescription for a non-controlled schedule prescription with "prn" refills. For what period of time is the prescription valid?

A non controlled prescription with "prn" refills may only be refilled up to 1 year from the date the prescription was written.

Which of the following is not required on a prescription?

A patient's social security number is not required on a prescription.

A noncontrolled prescription is written with three refills and filled today at the pharmacy. Two weeks later, the patient requests that it be transferred to another pharmacy. How many times may it be transferred?

A prescription may be transferred only one time from one pharmacy to another pharmacy if there are refills indicated. This applies to both controlled and noncontrolled prescriptions

A pharmacy technician is preparing a unit dose of a medication. What form must be completed?

A unit-dose (repackaging) log must be completed when preparing unit doses medications, a DEA Form 224 is submitted when registering a pharmacy with the DEA, a mixing record is used when compounding medications, and an SDS is a document for hazardous chemical or drugs.

What is the purpose of an auxiliary label?

Auxiliary labels provide additional information to the patient on how to take the medication, store the medication, and possible side effects the patient may experience.

An individual's patient profile indicates he has CHF. What does this mean?

CHF is an abbreviation for congestive heart failure.

What DAW code is assigned if no product is selected?

DAW 0 = no product selection indicated; DAW 1 = substitution not allowed by provider; DAW 2 = substitution allowed-patient requested product dispensed; and DAW 3 = substitution allowed-pharmacist selected product dispensed.

A prescriber writes in her own handwriting: "Brand Name Medically Necessary." What DAW number should be assigned to the prescription?

DAW1. DAW 0 = no product selection indicated; DAW 1 = substitution allowed by provider; DAW 2 = substitution allowed - patient requested product dispensed; and DAW 3 = substitution allowed-pharmacist selected product dispensed.

A prescription is written for one pint of a prescription drug. What volume must be entered in the computer system?

One pint is equal to 480-mL, and all quantities must be entered using metric units.

Which auxiliary label would be appropriate for suspension?

Suspensions need to be shaken before administering them to ensure the medication is the same concentration throughout the entire liquid.

In multiples of what number should medications be counted?

Tablets, capsules, and caplets should be counted out in multiples of five when counting out medications manually.

What is the meaning of the following sig: "2 tab po qid ac and hs"?

Take 2 tablets (tabs) by mouth (po) four times a day (qid) before meals (ac) and at bedtime (hs)

What is the maximum number of refills permitted on a schedule IV prescription?

The Controlled Substance Act only permits a maximum of five refills within 6 months of the date the prescription is written if authorized by the prescriber on the prescription.

Which part of a prescription indicated the directions to the patient?

The Latin expression signa means "write on label," which is the directions for the patient on how to take the medication.

The pharmacy receives a prescription for the following: Amoxicillin 500 mg #30 1 cap po tid How many days will this prescription last?

The prescription will last 10 days (Quantity dispensed/Quantity taken per day).

What is the subscription on a prescription?

The subscription on a prescription on a prescription provides the pharmacist with special compounding instructions.

Which of the following does not need to appear on a unit-dose log? a. Color of medications b. Medication lot number c. Medication NDC number d. Pharmacy technician's initials

a-The following information is required to be filled out on a unit-dose log record: date unit dose was prepared, drug (generic name, medication strength, dosage form, quantity prepared, drug manufacturer, drug manufacturer lot number, manufacturer's expiration date), pharmacy-assigned beyond-use date, pharmacy lot number, pharmacy technician's initials, and pharmacist's initials.

The pharmacy receives a prescription for Synthroid 0.1 mg. What term refers to the name and strength of the medication? a. Inscription b. Prescription c. Signa d. Subscription

a-The inscription on a prescription identifies the name of the medication and its strength, A prescription is an order from a licensed prescriber for a medication drug for a patient. The signa contains directions to the patient on taking the medication, and the subscription identifies for the pharmacist any special compounding directions.

What is the meaning of the prefix hyper-? a. above b. across c. below d. fast

a-The prefix hyper- means above; the prefixes for the other terms are across (trans-), below (hypo-), and fast (tachy-)

Which of the following medications does not require that a patient package insert be given to the patient? a. Isotretinoin b. ACE inhibitors c. Estrogen d. Oral Contraceptives

b-An ACE inhibitor does not require a patient product insert to be given to the patient.

Which of the following pieces of information does not need to appear on a prescription for fluoxetine? a. Medication strength b. Prescriber's DEA Number c. Prescriber's office telephone number d. Quantity of medication

b-Fluoxetine (Prozac) is not a controlled substance; therefore, a physician's DEA number does not have to appear on the prescription.

Which of the following is true regarding EZ-open prescribing bottle lids? a. All prescriptions require that one is placed on it; however, a patient may request that it not be used. b. A prescriber or a patient may request that one is placed on the container. c. They must be provided to any individual who does not have children living in his or her home. d. They must be provided to all senior citizens.

b-The Poison Prevention Act of 1970 allows the prescriber or the patient request an EZ-open container.

Which of the following is not found on a patient package insert? a. Description of medication b. Expiration date and lot number of medication c. Indications for medication d. Date of drug approval

b-The expiration date and medication lot number do not need to appear on patient product inset. Information contained on a patient product insert includes the drug name, clinical pharmacology, indications, adverse reactions, drug abuse and dependence, over dosage, dosage and administration, how supplied, storage information, the date of initial product approval; and a toll-free number and Internet address.

Which of the following pieces of information is not needed on a patient's prescription? a. Patient's name b. Patient's ID number c. Name of the medication d. Directions for use

b-The patient's identification number is not required on a prescription. The required information on a prescription includes the patient's name, home address (street number, street, city, state, and zip code), telephone number, and birth date.

Which of the following is not required on a medications order label? a. Expiration date of medication b. Lot number of medication c. Medication number d. Name and location of patient

c-A medication or prescription number would not be found on a medication order label.

A pharmacy technician may not: a. Collect patient information. b. Counsel patients. c. Enter data into pharmacy's information system. d. Update patient profiles.

c-Counseling patients can only be done by a pharmacist; pharmacy technicians perform technical duties in the pharmacy to include obtaining patient information, data entry, pouring, counting, and labeling medication containers.

Which piece of information is not required on a medication order label? a. Expiration date of medication. b. Pharmacist or technician who processed the order c. Lot number of medication d. Trade or generic name of medication

c-The medication lot number does not need to appear on the prescription label. The required information on a prescription label includes the date when the prescription was filled, serial (prescription) number of the prescription, pharmacy name and address, patient name, prescribing physician name, all directions for use of the prescription, medication strength, drug manufacturer name, drug quantity, prescription expiration, licensed pharmacist's initials, and number of refills allowed.

Which of the following drug classifications does not need to be dispensed in a child-resistant container? a. Antibiotics b. Antiviral medications c. Oral contraceptives d. Oral hypoglycemic agents

c-Under the Poison Prevention Act 1970, oral contraceptives do not need to be packaged in child-resistant containers.

Which of the following pieces of information does not need to appear on a prescription label for a controlled substance? a. Directions for use b. Name of medication c. Patient's name d. Prescriber's DEA number

d-A physician's DEA number does not have to appear on the prescription label, but it does need to appear on the original prescription.

Which of the following must be done if a patient requests an easy-open container? a. Verify with the physician that the dispensing of a medication in a n easy-open container is permitted. b. Verify that there are no children younger than 12 years living with the patient c. Verify that the patient has activated charcoal at home in case of a potential overdose. d. Have the patient sign the back of the prescription indicating that he or she has requested an easy-open container.

d-Although many computer systems have fields that allow a pharmacist or pharmacy technician to indicate a patient would like an easy-open container, the pharmacy is protected from lawsuits from being initiated if the the patient signs the back of the prescription indicating the desire. There is no written documentation supporting the request if it is entered into the computer system.

Of the following tasks, which may a pharmacy technician not perform? a. Accepting a prescription form a patient b. Entering a prescription into the computer c. Handing a patient's prescription medication to him or her d. Patient counceling

d-Pharmacy technicians are not permitted to counsel patients; only pharmacists are permitted to counsel patients.

What does the suffix -ology mean? a. Disease b. Heart c. Inflammation d. Study of

d-The suffix -ology means "study of". Suffixes for the other terms include -pathy for disease and -itis for inflammation; the root word for heart is -cardio.

What is the meaning of the pharmacy abbreviation "bid"? a. Four times a day b. Every other day c. Three times a day d. Twice a day

d-bid means twice a day; qid means four tomes a day; qd means every day, and tid means three times a day.